This law was passed to promote fair and reasonable billing and collection practices amongst hospitals by providing a set of responsible standards.
Hospitals must make financial assistance information available on signs in the admission and registration areas of the hospital with the following notice:
“You may be eligible for financial assistance under the terms and conditions the hospital offers to qualified patients. For more information, contact (hospital financial assistance representative).”
The sign should be in English and in any other language that is the primary language of at least 5 percent of the patients served by the hospital.
If the hospital has a Web site, this information should be posted in a prominent place on the site. In addition, hospitals must make information regarding financial assistance available in the form of either a brochure, application or other written materials in the hospital admission or registration area.
When billing patients, hospitals must provide the following information:
Every hospital must have a process for patients to inquire about or dispute a bill, including a telephone number to contact the hospital. Hospitals may also provide additional ways for contacting them about bills, including a toll-free number, a mailing address, a department or identified person that a patient may call or write, a Web site, or an e-mail address. A hospital must respond to a call within two business days after the call is made. A written request must be responded to within 10 business days of receipt..
Before hospitals can refer a patient’s bill to a collection agency, they must give the patient an opportunity to:
Hospitals cannot refer a bill to a collection agency without first offering the opportunity for patients to request a reasonable payment plan. Such an opportunity must be provided by hospitals for 30 days following the date of the original bill. If a patient fails to agree to a reasonable payment plan within 30 days of the request, the hospital may proceed with collection efforts.
Hospitals cannot pursue legal action for non-payment of a hospital bill against uninsured patients who have clearly demonstrated that they do not have sufficient income or assets to meet their financial obligations. To receive this protection, patients must provide the hospital with all of the reasonably requested financial information and documentation needed to determine the patient’s eligibility for financial assistance and payment plan options.
During hospital admission or as soon as is practicable, the hospital must provide insured patients with written notice that
The Illinois Attorney General is responsible for administering and ensuring compliance with this law. For assistance to help deal with a billing or other health care dispute, patients may contact the Attorney General’s Health Care Bureau toll-free hotline at 1-877-305-5145 (TTY: 1-800-964-3013). Information is available on the Web at: www.IllinoisAttorneyGeneral.gov
The Fair Patient Billing Act is available online.